| NPI | 1730071663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANNA RISKO Owner 330-421-9768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| 106E00000X Assistant Behavior Analyst | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2025-07-16 |
| Last Update Date | 2025-11-12 |